Active NPI
Joshua D Plemons
- Occupational Therapist
- Charlotte, NC
National Provider Identifier
1750428033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3178
- Practice address
- 2725 Water Ridge Pkwy
Suite 300
Charlotte, NC 28217-4580 - Phone
- (704) 831-5065
- Fax
- (704) 831-5066
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3178 | TN | Primary |
Addresses
Primary practice location
2725 Water Ridge Pkwy
Suite 300
Charlotte, NC 28217-4580
Mailing address
2725 Water Ridge Parkway
Suite 300
Charlotte, NC 28217-4581
Phone (704) 831-5065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3178 | TN | MD | Social Worker |
| 3718 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1750428033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 WATER RIDGE PARKWAY",
"address_2": "SUITE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282174581",
"telephone_number": "704-831-5065",
"fax_number": "704-831-5066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 WATER RIDGE PKWY",
"address_2": "SUITE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282174580",
"telephone_number": "704-831-5065",
"fax_number": "704-831-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLEMONS",
"first_name": "JOSHUA",
"middle_name": "D",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "3178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.